Individual provider Active NPI

CHI Oi Joyce Chan, O.D.

  • Optometrist
  • Corpus Christi, TX
National Provider Identifier
1386734846
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5683T Issued in TX
Practice address
5488 S. Padre Island Dr.
Corpus Christi, TX 78411
Phone
(361) 994-1159
Fax
(361) 994-1159
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5683T TX Primary

Addresses

Primary practice location

5488 S. Padre Island Dr.
Corpus Christi, TX 78411

Mailing address

4546 Hogan Dr.
Corpus Christi, TX 78413-2134
Phone (361) 728-9085

Other identifiers 1

IdentifierTypeStateIssuer
221343OtherTXEYEMED PIN

Other names 1

  • Joyce CHI Oi Chan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240428000018 TX Practitioner - Optometry 8123468980 Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5683TTXMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1386734846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 HOGAN DR.",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784132134",
            "telephone_number": "361-728-9085",
            "fax_number": "361-994-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5488 S. PADRE ISLAND DR.",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78411",
            "telephone_number": "361-994-1159",
            "fax_number": "361-994-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CHI OI",
        "middle_name": "JOYCE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5683T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED PIN",
            "identifier": "221343",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "CHAN",
            "middle_name": "CHI OI",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.